| NPI | 1659561595 |
|---|---|
| Professional Name | CLAIRE AILEEN DEVERA BOLOTAULO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A111222) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX at5828009426) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2021-11-18 |